Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care

Patient-centered Care Clinical Trial

Official title:

Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01520662
• Other study ID #: Wellness Portal Study
• Secondary ID: 1R18HS017188-01
• Status: Completed
• Phase: N/A
• First received: January 19, 2012
• Last updated: January 26, 2012
• Start date: September 2007
• Est. completion date: August 2010

Study information

• Verified date: January 2012
• Source: Agency for Healthcare Research and Quality (AHRQ)
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

Building upon our experience with a very sophisticated preventive services prompt and reminder system, the Preventive Services Reminder System (PSRS), the investigators propose to conduct a systematic three-year study with the following aims:

1. To develop, field test, and refine an Internet-based patient Wellness Portal linked to PSRS to facilitate patient-centered, preventive care in primary care practices;

2. To determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the behavior and experiences of both patients and providers and the degree to which recommended services are individualized; and

3. To develop model Wellness Portal practices and disseminate the Wellness Portal technology and knowledge derived from Aims 1 and 2 findings.

Description:

Project Aim 1: Develop, field test, and further refine an Internet-based Wellness Portal for use by patients seen in primary care settings to facilitate patient-centered, preventive care.

Specific Objectives:

• Assemble an Advisory Committee of clinicians, office staff, patients, and national HIT experts and develop a patient Wellness Portal that can be accessed by patients through the Internet and also in the provider's office via computer kiosks;

• Field test the Wellness Portal in two OKPRN practices and collect patient and provider satisfaction data via surveys and personal feedback to improve and refine the Wellness Portal and its integration into the comprehensive care delivery process.

Project Aim 2: Determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the experience of patients and providers with care and individualization of recommended services.

Specific Objectives:

• Assess the impact of the Wellness Portal on patient-centered care:

1. Assess the impact of the Wellness Portal on patient activation and the medical home;

2. Understand the impact of Wellness Portal use, the role of activated patients, and the concept of medical home on the provision of patient-centered care;

3. Measure the impact of the Wellness Portal on the individualization of preventive services that are recommended and delivered based upon individual risk factors and patient preferences;

• Describe utilization and implementation of the Wellness Portal, capture and analyze documented decisions on opting out from evidence-based recommendations, and assess the impact of the portal on missed opportunities for delivering preventive care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 540
• Est. completion date: August 2010
• Est. primary completion date: July 2008
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patients must have been seen at least twice by the enrolled clinician in the last twelve months;

• Patients must be six years old or younger or 50 years old and older;

• Patients (or their caretakers) must speak either English or Spanish and must have a basic level of computer skills that include being able to navigate a simple, consumer-oriented web site, use the keyboard and the mouse to interact with the browser, and understand / respond to

Exclusion Criteria:

• Not established patient

• Between than 6 years old and 50 years old

• Not fluent in English or Spanish, no basic computer skills or no help available for navigating a web browser

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Patient-centered Care

Intervention

Other:
• Implementation of a secure web-based patient Wellness Portal
Patients in intervention practices will review and update their wellness records, risk factor information, allergy and contraindication profile, and personal preferences through the Wellness Portal before they visit their primary care provider.

Locations

Country	Name	City	State
United States	University of Oklahoma HSC Department of Family and Prevetive Medicne	Oklahoma City	Oklahoma

Sponsors (1)

Lead Sponsor	Collaborator
Agency for Healthcare Research and Quality (AHRQ)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the experience of patients and providers with care and individualization of recommended services		9 months run per practice / 12 months total	No
Secondary	a) Assess the impact of the Wellness Portal on patient-centered care b) Describe utilization and implementation of the Wellness Portal		09/01/2007 - 08/31/2010	No

External Links

•   Home Page of the Oklahoma Physicians Resource/Research Network, a primary care practice-based PBRN